Parental perceptions regarding healthy behaviours for preventing overweight and obesity in young children: a systematic review of qualitative studies
Parental perceptions regarding healthy behaviours for preventing overweight and obesity in young children: a systematic review of qualitative studies
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DOI：
10.1111/j.1467-789x.2009.00648.x
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发表时间：
2010-05-01
期刊：
影响因子：
8.9
通讯作者：
Magnusson, J.
中科院分区：
文献类型：
--
作者：
Pocock, M.;Trivedi, D.;Magnusson, J.
越来越多的证据表明，早期生活策略对于预防儿童超重和肥胖的重要性。本系统综述综合了关于父母对预防幼儿超重和肥胖行为的看法的定性研究。在2008年5月和6月期间，检索了一系列电子数据库，并结合横向检索技术确定了21项研究供审查。利用主题内容分析进行数据提取和综合，揭示出6个组织主题和32个精细层次主题。这些因素与儿童因素、家庭动态、养育方式、知识和信仰、家庭外影响以及资源和环境有关。主题被映射到一个社会生态模型，该模型说明了个人、人际、社区、组织和社会层面的因素如何以复杂的方式相互作用，影响父母对预防儿童超重的健康行为的看法。虽然家长们提出了一些促进儿童健康的体重相关行为的想法，但他们的许多观点涉及到可感知的障碍，其中一些可能需要实际干预。此外，对父母健康信念和知识的代际影响表明，健康促进战略如果针对更广泛的家庭，而不是仅针对父母，可能会更有效。值得注意的是，许多家长认为促进健康体重的策略应该在孩子的早期就开始。
P>Evidence is increasingly pointing towards the importance of early life strategies to prevent childhood overweight and obesity. This systematic review synthesizes qualitative research concerning parental perceptions regarding behaviours for preventing overweight and obesity in young children. During May and June 2008, a range of electronic databases were searched and together with lateral searching techniques 21 studies were identified for review. Data extraction and synthesis using thematic content analysis revealed six organizing and 32 finer level themes. These related to child factors, family dynamics, parenting, knowledge and beliefs, extra-familial influences and resources and environment. Themes were mapped to a socioecological model which illustrated how factors at individual, interpersonal, community, organizational and societal levels interact in complex ways to impact on parental perceptions about healthy behaviours for preventing child overweight. Although parents suggested several ideas to promote healthy child weight-related behaviours, many of their views concerned perceived barriers, some of which may be amenable to practical intervention. Furthermore, intergenerational influences on parental health beliefs and knowledge suggest that health promotion strategies may be more effective if directed at the wider family, rather than parents alone. Significantly, many parents believed strategies to promote healthy weight should start early in a child's life.